Bossung Verena, Kast Kristina
Klinik für Frauenheilkunde und Geburtshilfe, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Lübeck, Deutschland.
Rechts- und Wirtschaftswissenschaftliche Fakultät, Lehrstuhl für Gesundheitsmanagement, Friedrich-Alexander Universität Erlangen-Nürnberg, Nürnberg, Deutschland.
Z Evid Fortbild Qual Gesundhwes. 2021 Aug;164:35-43. doi: 10.1016/j.zefq.2021.05.004. Epub 2021 Jun 30.
Today's routine prenatal care in Germany includes regular in-person appointments of pregnant women with doctors or midwives. Considering an increasing digitalization of the health care sector and in view of the global COVID-19 pandemic, the frequency of in-person visits could be reduced by remote monitoring using smart sensor technology. We aim to give an overview of the current international research on the use of smart sensors in prenatal care and its benefits, costs and resource consumption.
For this narrative review, PubMed and Science Direct were searched for clinical trials using smart sensors in prenatal care published in English or German language from 1/2016 to 12/2020. We included studies which addressed the benefits, costs and resource consumption of this innovative technology.
We identified 13 projects using smart sensors in the fields of basic prenatal care, prenatal care for patients with hypertensive disease in pregnancy and prenatal care for women with gestational diabetes. The projects detected positive effects of smart sensors on health care costs and resource consumption and at least equal benefits for the pregnant women.
The current COVID-19 pandemic underlines the need for the introduction of smart sensor technology into German prenatal care routine. Remote monitoring could easily reduce the frequency of in-person visits by half. Smart sensor concepts could be approved as digital health applications in Germany. In order to increase user acceptance, there should not be any additional costs for pregnant women and health care professionals using modern health care apps. However, health insurance providers need to invest in smart sensor technology in order to eventually benefit from it.
如今德国的常规产前护理包括孕妇定期与医生或助产士进行面对面预约。鉴于医疗保健领域数字化程度不断提高，以及全球新冠疫情的影响，使用智能传感器技术进行远程监测可以减少面对面就诊的频率。我们旨在概述当前国际上关于在产前护理中使用智能传感器及其益处、成本和资源消耗的研究情况。
对于本叙述性综述，我们在PubMed和Science Direct数据库中检索了2016年1月至2020年12月期间以英文或德文发表的关于在产前护理中使用智能传感器的临床试验。我们纳入了涉及这项创新技术的益处、成本和资源消耗的研究。
我们确定了13个在基础产前护理、妊娠高血压疾病患者的产前护理以及妊娠期糖尿病女性的产前护理领域使用智能传感器的项目。这些项目发现智能传感器对医疗保健成本和资源消耗有积极影响，并且对孕妇至少有同等益处。
当前的新冠疫情凸显了将智能传感器技术引入德国产前护理常规的必要性。远程监测可以轻松地将面对面就诊的频率降低一半。智能传感器概念可以在德国作为数字健康应用获得批准。为了提高用户接受度，使用现代医疗保健应用程序的孕妇和医疗保健专业人员不应产生任何额外费用。然而，医疗保险提供商需要投资于智能传感器技术，以便最终从中受益。
